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Ottawa Charter for Health Promotion
First International Conference on Health Promotion
8/28/2022
P U B L I C H E A L T H
1
UDDAB KATHAYAT
BPH 1ST YEAR
NAIHS
OUTLINES
Introduction
Health promotion
Prerequisites for health
 Basic Health promotion strategies
Health promotion actions
Commitment to health promotion
Call for international action
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Introduction
The first International Conference on Health Promotion, meeting
in Ottawa this 21st day of November 1986, hereby presents this
CHARTER for action to achieve Health for All by the year 2000
and beyond. -who
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Introduction
This conference was primarily a response to growing expectations for a
new public health movement around the world. Discussions focused on
the needs in industrialized countries, but took into account similar
concerns in all other regions.
 It built on the progress made through the Declaration on Primary Health
Care at Alma-Ata, the World Health Organization's Targets for Health for
All document, and the recent debate at the World Health Assembly on
intersectoral action for health
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Health promotion
Health promotion is the process of enabling people to increase control
over, and to improve, their health. To reach a state of complete
physical, mental and social well-being, an individual or group must be
able to identify and to realize aspirations, to satisfy needs, and to
change or cope with the environment. -who
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Health promotion
Health is, therefore, seen as a resource for everyday life, not the
objective of living. Health is a positive concept emphasizing social
and personal resources, as well as physical capacities. Therefore,
health promotion is not just the responsibility of the health sector,
but goes beyond healthy life-styles to well-being. -who
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Prerequisites for Health
 The fundamental conditions and resources for health are:
 Peace
 Shelter
 Education
Food
 Income
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 A stable eco-system
 Sustainable resources
Social justice
Equity
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Basic HP strategies
Advocate
Good health is a major resource for social, economic and personal
development and an important dimension of quality of life. Political,
economic, social, cultural, environmental, behavioural and
biological factors can all favour health or be harmful to it. Health
promotion action aims at making these conditions favourable
through advocacy for health.
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Basic Health promotion strategies
Enable
Health promotion focuses on achieving equity in health. Health
promotion action aims at reducing differences in current health status
and ensuring equal opportunities and resources to enable all people to
achieve their fullest health potential. This includes a secure
foundation in a supportive environment, access to information, life
skills and opportunities for making healthy choices
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Basic Health promotion strategies
Mediate
• The prerequisites and prospects for health cannot be ensured by the
health sector alone. More importantly, health promotion demands
coordinated action by all concerned: by governments, by health and
other social and economic sectors, by nongovernmental and voluntary
organization, by local authorities, by industry and by the media.
• People in all walks of life are involved as individuals, families and
communities. Professional and social groups and health personnel have a
major responsibility to mediate between differing interests in society for
the pursuit of health
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Health promotion actions
1. Build Healthy Public Policy
2. Create Supportive Environments
3. Strengthen Community Actions
4. Develop Personal Skills
5. Reorient Health Services
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1. Build Healthy Public Policy
 Health promotion goes beyond health care. It puts health on the agenda of policy
makers in all sectors and at all levels, directing them to be aware of the health
consequences of their decisions and to accept their responsibilities for health.
 Health promotion policy combines diverse but complementary approaches
including legislation, fiscal measures, taxation and organizational change. It is
coordinated action that leads to health, income and social policies that foster
greater equity.
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1.Build Healthy Public Policy
Joint action contributes to ensuring safer and healthier goods and
services, healthier public services, and cleaner, more enjoyable
environments.
Health promotion policy requires the identification of obstacles to
the adoption of healthy public policies in non-health sectors, and
ways of removing them. The aim must be to make the healthier
choice the easier choice for policy makers as well.
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2. Create Supportive Environment
 Our societies are complex and interrelated. Health cannot be separated from other
goals. The inextricable links between people and their environment constitutes
the basis for a socioecological approach to health.
 The overall guiding principle for the world, nations, regions and communities
alike, is the need to encourage reciprocal maintenance - to take care of each other,
our communities and our natural environment.
 The conservation of natural resources throughout the world should be
emphasized as a global responsibility.
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2. Create Supportive Environment
 Changing patterns of life, work and leisure have a significant impact on health.
Work and leisure should be a source of health for people.
 The way society organizes work should help create a healthy society.
Health promotion generates living and working conditions that are safe,
stimulating, satisfying and enjoyable.
 Systematic assessment of the health impact of a rapidly changing
environment - particularly in areas of technology, work, energy
production and urbanization - is essential and must be followed by action
to ensure positive benefit to the health of the public.
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3.Strengthen Community Actions
Health promotion works through concrete and effective community action
in setting priorities, making decisions, planning strategies and
implementing them to achieve better health. At the heart of this process is
the empowerment of communities - their ownership and control of their
own endeavours and destinies.
Community development draws on existing human and material resources
in the community to enhance self-help and social support, and to develop
flexible systems for strengthening public participation in and direction of
health matters. This requires full and continuous access to information,
learning opportunities for health, as well as funding support.
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4.Develop Personal Skill
 Health promotion supports personal and social development through providing
information, education for health, and enhancing life skills. By so doing, it
increases the options available to people to exercise more control over their own
health and over their environments, and to make choices conducive to health.
 Enabling people to learn, throughout life, to prepare themselves for all of its stages
and to cope with chronic illness and injuries is essential. This has to be facilitated
in school, home, work and community settings. Action is required through
educational, professional, commercial and voluntary bodies, and within the
institutions themselves.
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5.Reorient Health Services
 The responsibility for health promotion in health services is shared among
individuals, community groups, health professionals, health service institutions
and governments.
 They must work together towards a health care system which contributes to the
pursuit of health. The role of the health sector must move increasingly in a health
promotion direction, beyond its responsibility for providing clinical and curative
services. Health services need to embrace an expanded mandate which is sensitive
and respects cultural needs.
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5.Reorient Health Services
 This mandate should support the needs of individuals and communities for a
healthier life, and open channels between the health sector and broader social,
political, economic and physical environmental components.
 Reorienting health services also requires stronger attention to health research as
well as changes in professional education and training. This must lead to a
change of attitude and organization of health services which refocuses on the
total needs of the individual as a whole person.
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Commitment to health promotion
 To move into the arena of healthy public policy, and to advocate a clear political
commitment to health and equity in all sectors
 To counteract the pressures towards harmful products, resource depletion,
unhealthy living conditions and environments, and bad nutrition; and to focus
attention on public health issues such as pollution, occupational hazards, housing
and settlements
 To respond to the health gap within and between societies, and to tackle the
inequities in health produced by the rules and practices of these societies
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Commitment to health promotion
 To acknowledge people as the main health resource; to support and enable them
to keep themselves, their families and friends healthy through financial and other
means, and to accept the community as the essential voice in matters of its health,
living conditions and well-being.
 To reorient health services and their resources towards the promotion of health;
and to share power with other sectors, other disciplines and, most importantly,
with people themselves.
 To recognize health and its maintenance as a major social investment and
challenge; and to address the overall ecological issue of our ways of living
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Call for international action
 The Conference calls on the World Health Organization and other international
organizations to advocate the promotion of health in all appropriate forums and
to support countries in setting up strategies and programmes for health
promotion
 The Conference is firmly convinced that if people in all walks of life,
nongovernmental and voluntary organizations, governments, the World Health
Organization and all other bodies concerned join forces in introducing
strategies for health promotion, in line with the moral and social values that
form the basis of this CHARTER, Health For All by the year 2000 will become
a reality.
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24 PUBLIC HEALTH 8/28/2022
CHARTER ADOPTED AT AN INTERNATIONAL CONFERENCE ON
HEALTH PROMOTION* The move towards a new public health,
November 17-21, 1986 Ottawa, Ontario, Canada
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* Co-sponsored by the Canadian Public Health
Association,Health and Welfare Canada, and the World
Health Organizatio
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Reference
 https://www.who.int/teams/health-promotion/enhanced-wellbeing/first-global-
conference/actions 2079-05-09 at 7pm
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Conference on health promotion
 1st Global Conference Promotion: Ottawa 1986 on Health
 2nd Global Conference Promotion: Adelaide 1988
 3rd Global Conference on Health Promotion: Sundsvall 1991
 4th Global Conference Promotion: Jakarta 1997
 5th Global Conference Promotion: Mexico 2000
 6th Global Conference Promotion: Bangkok 2005
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Conference on health promotion
 7th Global Conference Promotion: Nairobi 2009
 8th Global conference on health promotion : Helsinki 2013
 9th Global Conference on Health : November 2016), which is
jointly Promotion (Shanghai, 21 to 24 organized by the
Government of China and WHO. The Conference is entitled
Promoting health in the Sustainable
 10th Global conference on health promotion : On 13–15 December
2021, The virtual conference is organized by the World Health
Organization (WHO) with the support of the United Arab Emirates
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Jakarta Declaration on Leading Health
Promotion into the 21st Century
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SONY HAMAL
BPH 1ST YEAR
NAIHS
Introduction
 The Fourth International Conference on Health Promotion: New Players for a
New Era - Leading Health Promotion into the 21st Century, meeting in Jakarta
from 21 to 25 July 1997 has come at a critical moment in the development of
international strategies for health. It is almost 20 years since the World Health
Organizations Member States made an ambitious commitment to a global
strategy for Health for All and the principles of primary health care through the
Declaration of Alma-Ata.
 It has provided an opportunity to reflect on what has been learned about
effective health promotion, to re-examine the determinants of health, and to
identify the directions and strategies that must be adopted to address the
challenges of promoting health in the 21st century. The participants in the
Jakarta Conference hereby present this Declaration on action for health
promotion into the next century.
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 The Jakarta Declaration on Health Promotion offers a vision and
focus for health promotion into the next century. It reflects the firm
commitment of participants in the Fourth International Conference
on Health Promotion to draw upon the widest possible range of
resources to tackle health determinants in the 21st century.
Determinants of health: new challenges
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 The prerequisites for health are peace, shelter, education, social security, social
relations, food, income, the empowerment of women, a stable eco-system,
sustainable resource use, social justice, respect for human rights, and equity.
Above all, poverty is the greatest threat to health.
 Demographic trends such as urbanization, an increase in the number of older
people and the high prevalence of chronic diseases pose new problems in all
countries. Other social, behavioural and biological changes such as increased
sedentary behaviour, resistance to antibiotics and other commonly available
drugs, increased drug abuse, and civil and domestic violence threaten the health
and well-being of hundreds of millions of people.
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 New and re-emerging infectious diseases, and the greater recognition of mental
health problems, require an urgent response. It is vital that approaches to health
promotion evolve to meet changes in the determinants of health.
 Transnational factors also have a significant impact on health. These include the
integration of the global economy, financial markets and trade, wide access to
media and communications technology, and environmental degradation as a result
of the irresponsible use of resources.
 These changes shape peoples values, their lifestyles throughout the lifespan, and
living conditions across the world. Some have great potential for health, such as
the development of communications technology, while others, such as
international trade in tobacco, have a major negative impact.
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Priorities for health promotion in the 21st Century
 1. Promote social responsibility for health
 2. Increase investments for health development
 3. Consolidate and expand partnerships for health
 4. Increase community capacity and empower the individual
 5. Secure an infrastructure for health promotion
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1. Promote social responsibility for health
 Decision-makers must be firmly committed to social responsibility. Both the public and
private sectors should promote health by pursuing policies and practices that:
• avoid harming the health of individuals
• protect the environment and ensure sustainable use of resources
• restrict production of and trade in inherently harmful goods and substances such as
tobacco and armaments, as well as discourage unhealthy marketing practices
• safeguard both the citizen in the marketplace and the individual in the workplace
• include equity-focused health impact assessments as an integral part of policy
development.
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2. Increase investments for health development
 In many countries, current investment in health is inadequate and often ineffective.
 Increasing investment for health development requires a truly multisectoral
approach including, for example, additional resources for education and housing as
well as for the health sector.
 Greater investment for health and reorientation of existing investments, both within
and among countries, has the potential to achieve significant advances in human
development, health and quality of life.
 Investments for health should reflect the needs of particular groups such as women,
children, older people, and indigenous, poor and marginalized populations.
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3. Consolidate and expand partnerships for health
 Health promotion requires partnerships for health and social development
between the different sectors at all levels of governance and society. Existing
partnerships need to be strengthened and the potential for new partnerships must
be explored.
 Partnerships offer mutual benefit for health through the sharing of expertise,
skills and resources. Each partnership must be transparent and accountable and
be based on agreed ethical principles, mutual understanding and respect. WHO
guidelines should be adhered to.
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4. Increase community capacity and empower the
individual
 Health promotion is carried out by and with people, not on or to people. It
improves both the ability of individuals to take action, and the capacity of groups,
organizations or communities to influence the determinants of health.
 Improving the capacity of communities for health promotion requires practical
education, leadership training, and access to resources. Empowering individuals
demands more consistent, reliable access to the decision-making process and the
skills and knowledge essential to effect change.
 Both traditional communication and the new information media support this
process. Social, cultural and spiritual resources need to be harnessed in innovative
ways.
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5. Secure an infrastructure for health promotion
 To secure an infrastructure for health promotion, new mechanisms for funding it
locally, nationally and globally must be found
 Incentives should be developed to influence the actions of governments,
nongovernmental organizations, educational institutions and the private sector to
make sure that resource mobilization for health promotion is maximized.
 "Settings for health" represent the organizational base of the infrastructure required
for health promotion. New health challenges mean that new and diverse networks
need to be created to achieve intersectoral collaboration.
 Such networks should provide mutual assistance within and among countries and
facilitate exchange of information on which strategies have proved effective and in
which settings.
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5. Secure an infrastructure for health promotion
 Training in and practice of local leadership skills should be encouraged in order
to support health promotion activities.
 Documentation of experiences in health promotion through research and project
reporting should be enhanced to improve planning, implementation and
evaluation.
 All countries should develop the appropriate political, legal, educational, social
and economic environments required to support health promotion.
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Call for action
 The participants in this Conference are committed to sharing the key messages of
the Jakarta Declaration with their governments, institutions and communities,
putting the actions proposed into practice, and reporting back to the Fifth
International Conference on Health Promotion.
 In order to speed progress towards global health promotion, the participants endorse
the formation of a global health promotion alliance. The goal of this alliance is to
advance the priorities for action in health promotion set out in this Declaration.
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Priorities for the alliance include:
• raising awareness of the changing determinants of health
• supporting the development of collaboration and networks for health
development
• mobilizing resources for health promotion
• accumulating knowledge on best practice
• enabling shared learning
• promoting solidarity in action
• fostering transparency and public accountability in health promotion
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 National governments are called on to take the initiative in fostering and
sponsoring networks for health promotion both within and among their countries.
 The participants call on WHO to take the lead in building such a global health
promotion alliance and enabling its Member States to implement the outcomes of
the Conference.
 A key part of this role is for WHO to engage governments, nongovernmental
organizations, development banks, organizations of the United Nations system,
interregional bodies, bilateral agencies, the labour movement and cooperatives,
as well as the private sector, in advancing the priorities for action in health
promotion
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Reference
 https://www.who.int/teams/health-promotion/enhanced-wellbeing/first-global-
conference/actions 2079-05-09 at 7pm
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9th Global Conference on Health : November
2016), (Shanghai, 21 to 24 )
 Overview
 The People’s Republic of China and WHO were the joint-organizers of the
Global Conference on Health Promotion in Shanghai on 21-24 November 2016.
The Conference entitled “Promoting health in the Sustainable Development
Goals: Health for all and all for health,” and hosted by the Government and
China and the Municipal Government of Shanghai. “Health promotion was
about enabling and empowering people, communities and societies to take
charge of their own health and quality of life.”
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Goals
• To highlight the critical links between promoting health and the
2030 Agenda for Sustainable Development
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Participation
•Ministers of Agriculture, Development Cooperation, Financing,
Foreign Affairs, Health, Planning, and Trade.
•Public policy decision makers.
•Health promotion experts.
 Objectives
• To provide guidance to Member States on how to reflect promoting health into
national Sustainable Development Goal (SDG) responses, and how to accelerate
progress on SDG targets.
• Exchange national experiences in:
• strengthening good governance for health through action across government sectors;
• broadening and strengthening social mobilization; and
• promoting health literacy.
• To highlight the health sector’s changing role as the key advocate for promoting
health.
• To highlight the crucial role that cities – and municipal leaders, especially Mayors
– play in promoting health (creating Healthy Cities), in the context of an
increasingly urbanized global population.
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Why this conference matters?
Health is at the heart of the 2030 Sustainable Development
Agenda. Promoting health is, therefore, central to delivering on
the SDGs. In highlighting how health and sustainable
development are inextricably linked, this Conference charted a
new course for the next 15 years, aimed at inspiring national
governments, municipal leaders and other stakeholders to grasp
the great potential of promoting health across all sectors of
society.
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10th Global conference on health promotion : On 13–15
December 2021,
 On 13–15 December 2021, WHO will hold the 10th Global Conference on
Health Promotion. The virtual conference is organized by the World Health
Organization (WHO) with the support of the United Arab Emirates, United
Nations agencies and partners. It will mark the first time that WHO has
used well-being as the theme of a major conference
 Discussions will focus on the contributions that health promotion can make
to well-being in the broad areas of people, the planet and prosperity,
culminating in a high-level political statement recommending how
governments can use health promotion to advance well-being.
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The conference objectives are to:
• discuss how to extend health promotion to advance well-being and
equity, building on evidence and experience, to foster healthier
populations.
• identify realistic interventions for health promotion and well-being to
accelerate progress in achieving the SDGs.
• emphasize the role of health promotion in public health emergency
preparedness and response, and seize opportunities to build
healthier, fairer societies.
• explore innovative health promotion approaches to enable societies
and communities to flourish.
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Ottawa charter for health promotion.pptx

  • 1. Ottawa Charter for Health Promotion First International Conference on Health Promotion 8/28/2022 P U B L I C H E A L T H 1 UDDAB KATHAYAT BPH 1ST YEAR NAIHS
  • 2. OUTLINES Introduction Health promotion Prerequisites for health  Basic Health promotion strategies Health promotion actions Commitment to health promotion Call for international action 8/28/2022 PUBLIC HEALTH 2
  • 3. Introduction The first International Conference on Health Promotion, meeting in Ottawa this 21st day of November 1986, hereby presents this CHARTER for action to achieve Health for All by the year 2000 and beyond. -who 8/28/2022 PUBLIC HEALTH 3
  • 4. Introduction This conference was primarily a response to growing expectations for a new public health movement around the world. Discussions focused on the needs in industrialized countries, but took into account similar concerns in all other regions.  It built on the progress made through the Declaration on Primary Health Care at Alma-Ata, the World Health Organization's Targets for Health for All document, and the recent debate at the World Health Assembly on intersectoral action for health 8/28/2022 PUBLIC HEALTH 4
  • 5. Health promotion Health promotion is the process of enabling people to increase control over, and to improve, their health. To reach a state of complete physical, mental and social well-being, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment. -who 8/28/2022 PUBLIC HEALTH 5
  • 6. Health promotion Health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. Therefore, health promotion is not just the responsibility of the health sector, but goes beyond healthy life-styles to well-being. -who 8/28/2022 PUBLIC HEALTH 6
  • 7. Prerequisites for Health  The fundamental conditions and resources for health are:  Peace  Shelter  Education Food  Income 8/28/2022 PUBLIC HEALTH 7  A stable eco-system  Sustainable resources Social justice Equity
  • 9. Basic HP strategies Advocate Good health is a major resource for social, economic and personal development and an important dimension of quality of life. Political, economic, social, cultural, environmental, behavioural and biological factors can all favour health or be harmful to it. Health promotion action aims at making these conditions favourable through advocacy for health. 8/28/2022 PUBLIC HEALTH 9
  • 10. Basic Health promotion strategies Enable Health promotion focuses on achieving equity in health. Health promotion action aims at reducing differences in current health status and ensuring equal opportunities and resources to enable all people to achieve their fullest health potential. This includes a secure foundation in a supportive environment, access to information, life skills and opportunities for making healthy choices 8/28/2022 PUBLIC HEALTH 10
  • 11. Basic Health promotion strategies Mediate • The prerequisites and prospects for health cannot be ensured by the health sector alone. More importantly, health promotion demands coordinated action by all concerned: by governments, by health and other social and economic sectors, by nongovernmental and voluntary organization, by local authorities, by industry and by the media. • People in all walks of life are involved as individuals, families and communities. Professional and social groups and health personnel have a major responsibility to mediate between differing interests in society for the pursuit of health 8/28/2022 PUBLIC HEALTH 11
  • 12. Health promotion actions 1. Build Healthy Public Policy 2. Create Supportive Environments 3. Strengthen Community Actions 4. Develop Personal Skills 5. Reorient Health Services 8/28/2022 PUBLIC HEALTH 12
  • 13. 1. Build Healthy Public Policy  Health promotion goes beyond health care. It puts health on the agenda of policy makers in all sectors and at all levels, directing them to be aware of the health consequences of their decisions and to accept their responsibilities for health.  Health promotion policy combines diverse but complementary approaches including legislation, fiscal measures, taxation and organizational change. It is coordinated action that leads to health, income and social policies that foster greater equity. 8/28/2022 PUBLIC HEALTH 13
  • 14. 1.Build Healthy Public Policy Joint action contributes to ensuring safer and healthier goods and services, healthier public services, and cleaner, more enjoyable environments. Health promotion policy requires the identification of obstacles to the adoption of healthy public policies in non-health sectors, and ways of removing them. The aim must be to make the healthier choice the easier choice for policy makers as well. 8/28/2022 PUBLIC HEALTH 14
  • 15. 2. Create Supportive Environment  Our societies are complex and interrelated. Health cannot be separated from other goals. The inextricable links between people and their environment constitutes the basis for a socioecological approach to health.  The overall guiding principle for the world, nations, regions and communities alike, is the need to encourage reciprocal maintenance - to take care of each other, our communities and our natural environment.  The conservation of natural resources throughout the world should be emphasized as a global responsibility. 8/28/2022 PUBLIC HEALTH 15
  • 16. 2. Create Supportive Environment  Changing patterns of life, work and leisure have a significant impact on health. Work and leisure should be a source of health for people.  The way society organizes work should help create a healthy society. Health promotion generates living and working conditions that are safe, stimulating, satisfying and enjoyable.  Systematic assessment of the health impact of a rapidly changing environment - particularly in areas of technology, work, energy production and urbanization - is essential and must be followed by action to ensure positive benefit to the health of the public. 8/28/2022 PUBLIC HEALTH 16
  • 17. 3.Strengthen Community Actions Health promotion works through concrete and effective community action in setting priorities, making decisions, planning strategies and implementing them to achieve better health. At the heart of this process is the empowerment of communities - their ownership and control of their own endeavours and destinies. Community development draws on existing human and material resources in the community to enhance self-help and social support, and to develop flexible systems for strengthening public participation in and direction of health matters. This requires full and continuous access to information, learning opportunities for health, as well as funding support. 8/28/2022 PUBLIC HEALTH 17
  • 18. 4.Develop Personal Skill  Health promotion supports personal and social development through providing information, education for health, and enhancing life skills. By so doing, it increases the options available to people to exercise more control over their own health and over their environments, and to make choices conducive to health.  Enabling people to learn, throughout life, to prepare themselves for all of its stages and to cope with chronic illness and injuries is essential. This has to be facilitated in school, home, work and community settings. Action is required through educational, professional, commercial and voluntary bodies, and within the institutions themselves. 8/28/2022 PUBLIC HEALTH 18
  • 19. 5.Reorient Health Services  The responsibility for health promotion in health services is shared among individuals, community groups, health professionals, health service institutions and governments.  They must work together towards a health care system which contributes to the pursuit of health. The role of the health sector must move increasingly in a health promotion direction, beyond its responsibility for providing clinical and curative services. Health services need to embrace an expanded mandate which is sensitive and respects cultural needs. 8/28/2022 PUBLIC HEALTH 19
  • 20. 5.Reorient Health Services  This mandate should support the needs of individuals and communities for a healthier life, and open channels between the health sector and broader social, political, economic and physical environmental components.  Reorienting health services also requires stronger attention to health research as well as changes in professional education and training. This must lead to a change of attitude and organization of health services which refocuses on the total needs of the individual as a whole person. 8/28/2022 PUBLIC HEALTH 20
  • 21. Commitment to health promotion  To move into the arena of healthy public policy, and to advocate a clear political commitment to health and equity in all sectors  To counteract the pressures towards harmful products, resource depletion, unhealthy living conditions and environments, and bad nutrition; and to focus attention on public health issues such as pollution, occupational hazards, housing and settlements  To respond to the health gap within and between societies, and to tackle the inequities in health produced by the rules and practices of these societies 8/28/2022 PUBLIC HEALTH 21
  • 22. Commitment to health promotion  To acknowledge people as the main health resource; to support and enable them to keep themselves, their families and friends healthy through financial and other means, and to accept the community as the essential voice in matters of its health, living conditions and well-being.  To reorient health services and their resources towards the promotion of health; and to share power with other sectors, other disciplines and, most importantly, with people themselves.  To recognize health and its maintenance as a major social investment and challenge; and to address the overall ecological issue of our ways of living 8/28/2022 PUBLIC HEALTH 22
  • 23. Call for international action  The Conference calls on the World Health Organization and other international organizations to advocate the promotion of health in all appropriate forums and to support countries in setting up strategies and programmes for health promotion  The Conference is firmly convinced that if people in all walks of life, nongovernmental and voluntary organizations, governments, the World Health Organization and all other bodies concerned join forces in introducing strategies for health promotion, in line with the moral and social values that form the basis of this CHARTER, Health For All by the year 2000 will become a reality. 8/28/2022 PUBLIC HEALTH 23
  • 24. 24 PUBLIC HEALTH 8/28/2022
  • 25. CHARTER ADOPTED AT AN INTERNATIONAL CONFERENCE ON HEALTH PROMOTION* The move towards a new public health, November 17-21, 1986 Ottawa, Ontario, Canada 8/28/2022 PUBLIC HEALTH 25
  • 26. * Co-sponsored by the Canadian Public Health Association,Health and Welfare Canada, and the World Health Organizatio 8/28/2022 PUBLIC HEALTH 26
  • 28. Conference on health promotion  1st Global Conference Promotion: Ottawa 1986 on Health  2nd Global Conference Promotion: Adelaide 1988  3rd Global Conference on Health Promotion: Sundsvall 1991  4th Global Conference Promotion: Jakarta 1997  5th Global Conference Promotion: Mexico 2000  6th Global Conference Promotion: Bangkok 2005 8/28/2022 PUBLIC HEALTH 28
  • 29. Conference on health promotion  7th Global Conference Promotion: Nairobi 2009  8th Global conference on health promotion : Helsinki 2013  9th Global Conference on Health : November 2016), which is jointly Promotion (Shanghai, 21 to 24 organized by the Government of China and WHO. The Conference is entitled Promoting health in the Sustainable  10th Global conference on health promotion : On 13–15 December 2021, The virtual conference is organized by the World Health Organization (WHO) with the support of the United Arab Emirates 8/28/2022 PUBLIC HEALTH 29
  • 30. Jakarta Declaration on Leading Health Promotion into the 21st Century 8/28/2022 PUBLIC HEALTH 30 SONY HAMAL BPH 1ST YEAR NAIHS
  • 31. Introduction  The Fourth International Conference on Health Promotion: New Players for a New Era - Leading Health Promotion into the 21st Century, meeting in Jakarta from 21 to 25 July 1997 has come at a critical moment in the development of international strategies for health. It is almost 20 years since the World Health Organizations Member States made an ambitious commitment to a global strategy for Health for All and the principles of primary health care through the Declaration of Alma-Ata.  It has provided an opportunity to reflect on what has been learned about effective health promotion, to re-examine the determinants of health, and to identify the directions and strategies that must be adopted to address the challenges of promoting health in the 21st century. The participants in the Jakarta Conference hereby present this Declaration on action for health promotion into the next century. 8/28/2022 PUBLIC HEALTH 31
  • 32.  The Jakarta Declaration on Health Promotion offers a vision and focus for health promotion into the next century. It reflects the firm commitment of participants in the Fourth International Conference on Health Promotion to draw upon the widest possible range of resources to tackle health determinants in the 21st century. Determinants of health: new challenges 8/28/2022 PUBLIC HEALTH 32
  • 33.  The prerequisites for health are peace, shelter, education, social security, social relations, food, income, the empowerment of women, a stable eco-system, sustainable resource use, social justice, respect for human rights, and equity. Above all, poverty is the greatest threat to health.  Demographic trends such as urbanization, an increase in the number of older people and the high prevalence of chronic diseases pose new problems in all countries. Other social, behavioural and biological changes such as increased sedentary behaviour, resistance to antibiotics and other commonly available drugs, increased drug abuse, and civil and domestic violence threaten the health and well-being of hundreds of millions of people. 8/28/2022 PUBLIC HEALTH 33
  • 34.  New and re-emerging infectious diseases, and the greater recognition of mental health problems, require an urgent response. It is vital that approaches to health promotion evolve to meet changes in the determinants of health.  Transnational factors also have a significant impact on health. These include the integration of the global economy, financial markets and trade, wide access to media and communications technology, and environmental degradation as a result of the irresponsible use of resources.  These changes shape peoples values, their lifestyles throughout the lifespan, and living conditions across the world. Some have great potential for health, such as the development of communications technology, while others, such as international trade in tobacco, have a major negative impact. 8/28/2022 PUBLIC HEALTH 34
  • 35. Priorities for health promotion in the 21st Century  1. Promote social responsibility for health  2. Increase investments for health development  3. Consolidate and expand partnerships for health  4. Increase community capacity and empower the individual  5. Secure an infrastructure for health promotion 8/28/2022 PUBLIC HEALTH 35
  • 36. 1. Promote social responsibility for health  Decision-makers must be firmly committed to social responsibility. Both the public and private sectors should promote health by pursuing policies and practices that: • avoid harming the health of individuals • protect the environment and ensure sustainable use of resources • restrict production of and trade in inherently harmful goods and substances such as tobacco and armaments, as well as discourage unhealthy marketing practices • safeguard both the citizen in the marketplace and the individual in the workplace • include equity-focused health impact assessments as an integral part of policy development. 8/28/2022 PUBLIC HEALTH 36
  • 37. 2. Increase investments for health development  In many countries, current investment in health is inadequate and often ineffective.  Increasing investment for health development requires a truly multisectoral approach including, for example, additional resources for education and housing as well as for the health sector.  Greater investment for health and reorientation of existing investments, both within and among countries, has the potential to achieve significant advances in human development, health and quality of life.  Investments for health should reflect the needs of particular groups such as women, children, older people, and indigenous, poor and marginalized populations. 8/28/2022 PUBLIC HEALTH 37
  • 38. 3. Consolidate and expand partnerships for health  Health promotion requires partnerships for health and social development between the different sectors at all levels of governance and society. Existing partnerships need to be strengthened and the potential for new partnerships must be explored.  Partnerships offer mutual benefit for health through the sharing of expertise, skills and resources. Each partnership must be transparent and accountable and be based on agreed ethical principles, mutual understanding and respect. WHO guidelines should be adhered to. 8/28/2022 PUBLIC HEALTH 38
  • 39. 4. Increase community capacity and empower the individual  Health promotion is carried out by and with people, not on or to people. It improves both the ability of individuals to take action, and the capacity of groups, organizations or communities to influence the determinants of health.  Improving the capacity of communities for health promotion requires practical education, leadership training, and access to resources. Empowering individuals demands more consistent, reliable access to the decision-making process and the skills and knowledge essential to effect change.  Both traditional communication and the new information media support this process. Social, cultural and spiritual resources need to be harnessed in innovative ways. 8/28/2022 PUBLIC HEALTH 39
  • 40. 5. Secure an infrastructure for health promotion  To secure an infrastructure for health promotion, new mechanisms for funding it locally, nationally and globally must be found  Incentives should be developed to influence the actions of governments, nongovernmental organizations, educational institutions and the private sector to make sure that resource mobilization for health promotion is maximized.  "Settings for health" represent the organizational base of the infrastructure required for health promotion. New health challenges mean that new and diverse networks need to be created to achieve intersectoral collaboration.  Such networks should provide mutual assistance within and among countries and facilitate exchange of information on which strategies have proved effective and in which settings. 8/28/2022 PUBLIC HEALTH 40
  • 41. 5. Secure an infrastructure for health promotion  Training in and practice of local leadership skills should be encouraged in order to support health promotion activities.  Documentation of experiences in health promotion through research and project reporting should be enhanced to improve planning, implementation and evaluation.  All countries should develop the appropriate political, legal, educational, social and economic environments required to support health promotion. 8/28/2022 PUBLIC HEALTH 41
  • 42. Call for action  The participants in this Conference are committed to sharing the key messages of the Jakarta Declaration with their governments, institutions and communities, putting the actions proposed into practice, and reporting back to the Fifth International Conference on Health Promotion.  In order to speed progress towards global health promotion, the participants endorse the formation of a global health promotion alliance. The goal of this alliance is to advance the priorities for action in health promotion set out in this Declaration. 8/28/2022 PUBLIC HEALTH 42
  • 43. Priorities for the alliance include: • raising awareness of the changing determinants of health • supporting the development of collaboration and networks for health development • mobilizing resources for health promotion • accumulating knowledge on best practice • enabling shared learning • promoting solidarity in action • fostering transparency and public accountability in health promotion 8/28/2022 PUBLIC HEALTH 43
  • 44.  National governments are called on to take the initiative in fostering and sponsoring networks for health promotion both within and among their countries.  The participants call on WHO to take the lead in building such a global health promotion alliance and enabling its Member States to implement the outcomes of the Conference.  A key part of this role is for WHO to engage governments, nongovernmental organizations, development banks, organizations of the United Nations system, interregional bodies, bilateral agencies, the labour movement and cooperatives, as well as the private sector, in advancing the priorities for action in health promotion 8/28/2022 PUBLIC HEALTH 44
  • 46. 9th Global Conference on Health : November 2016), (Shanghai, 21 to 24 )  Overview  The People’s Republic of China and WHO were the joint-organizers of the Global Conference on Health Promotion in Shanghai on 21-24 November 2016. The Conference entitled “Promoting health in the Sustainable Development Goals: Health for all and all for health,” and hosted by the Government and China and the Municipal Government of Shanghai. “Health promotion was about enabling and empowering people, communities and societies to take charge of their own health and quality of life.” 8/28/2022 PUBLIC HEALTH 46
  • 47. Goals • To highlight the critical links between promoting health and the 2030 Agenda for Sustainable Development 8/28/2022 PUBLIC HEALTH 47 Participation •Ministers of Agriculture, Development Cooperation, Financing, Foreign Affairs, Health, Planning, and Trade. •Public policy decision makers. •Health promotion experts.
  • 48.  Objectives • To provide guidance to Member States on how to reflect promoting health into national Sustainable Development Goal (SDG) responses, and how to accelerate progress on SDG targets. • Exchange national experiences in: • strengthening good governance for health through action across government sectors; • broadening and strengthening social mobilization; and • promoting health literacy. • To highlight the health sector’s changing role as the key advocate for promoting health. • To highlight the crucial role that cities – and municipal leaders, especially Mayors – play in promoting health (creating Healthy Cities), in the context of an increasingly urbanized global population. 8/28/2022 PUBLIC HEALTH 48
  • 49. Why this conference matters? Health is at the heart of the 2030 Sustainable Development Agenda. Promoting health is, therefore, central to delivering on the SDGs. In highlighting how health and sustainable development are inextricably linked, this Conference charted a new course for the next 15 years, aimed at inspiring national governments, municipal leaders and other stakeholders to grasp the great potential of promoting health across all sectors of society. 8/28/2022 PUBLIC HEALTH 49
  • 50. 10th Global conference on health promotion : On 13–15 December 2021,  On 13–15 December 2021, WHO will hold the 10th Global Conference on Health Promotion. The virtual conference is organized by the World Health Organization (WHO) with the support of the United Arab Emirates, United Nations agencies and partners. It will mark the first time that WHO has used well-being as the theme of a major conference  Discussions will focus on the contributions that health promotion can make to well-being in the broad areas of people, the planet and prosperity, culminating in a high-level political statement recommending how governments can use health promotion to advance well-being. 8/28/2022 PUBLIC HEALTH 50
  • 51. The conference objectives are to: • discuss how to extend health promotion to advance well-being and equity, building on evidence and experience, to foster healthier populations. • identify realistic interventions for health promotion and well-being to accelerate progress in achieving the SDGs. • emphasize the role of health promotion in public health emergency preparedness and response, and seize opportunities to build healthier, fairer societies. • explore innovative health promotion approaches to enable societies and communities to flourish. 8/28/2022 PUBLIC HEALTH 51